Healthcare Provider Details

I. General information

NPI: 1306150628
Provider Name (Legal Business Name): AMANDA NICOLE POHAR CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA NICOLE CALHOUN CNP

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8351 N HIGH ST STE 155
COLUMBUS OH
43235-1409
US

IV. Provider business mailing address

824 BOWTOWN RD
DELAWARE OH
43015-9661
US

V. Phone/Fax

Practice location:
  • Phone: 614-664-3595
  • Fax: 614-664-3595
Mailing address:
  • Phone: 419-949-2000
  • Fax: 419-751-7322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.11634
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.11634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: